Loading...
HomeMy WebLinkAboutInsurance Certificate: Ashland Gun Club DATE(MMIDD/YYYY) '4 CERTIFICATE OF LIABILITY INSURANCE 07/27/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lockton Affinity Lockton Affinity,LLC 10895 Lowell Avenue,Suite 300 PHONE! Eat): 844-401-9444 FAX No): Overland Park,KS 66210 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Acceptance Casualty Insurance Company 10349 INSURED INSURER B Ashland Gun Club PO Box 953 INSURER C: Ashland OR 97520 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD SWVD POLICY NUMBER (UBR M/DDD/YYYYY) (MM!DDNYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 6 1,000,000 A DAMAGE TO RENTED Claims Made X Occur PREMISES(Ea occurrence) S 100,000 X LOC-GL-0001509-02 09/05/2023 09/05/2024 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY 5 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 6 2,000,000 X POLICY PROJEC LOC PRODUCTS-COMP/OP AGG 6 2000000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS SCHEDULED BODILY INJURY(Per accident) $ _ ONLY -_ AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY _ AUTOS ONLY (Per accident) $ _ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ T EXCESS UAB CLAIMS- AGGREGATE $ D RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'UABILITY y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached It mom space Is required) CERTIFICATE HOLDER CANCELLATION Douglas M. McGeary, Acting City Attorney City of Ashland, C SHOULD ANY OF THE ABOVE DESCRIBED-POLICIES BE CANCELLED BEFORE 20 East Main Street - --- -THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Ashland, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD